Provider Demographics
NPI:1831635192
Name:A TO Z PSYCHOLOGICAL SERVICES LLC
Entity Type:Organization
Organization Name:A TO Z PSYCHOLOGICAL SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:ANGELONE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:856-340-9319
Mailing Address - Street 1:39 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MULLICA HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08062-9402
Mailing Address - Country:US
Mailing Address - Phone:856-230-2919
Mailing Address - Fax:710-977-8292
Practice Address - Street 1:39 S MAIN ST
Practice Address - Street 2:
Practice Address - City:MULLICA HILL
Practice Address - State:NJ
Practice Address - Zip Code:08062-9402
Practice Address - Country:US
Practice Address - Phone:856-230-2919
Practice Address - Fax:710-977-8292
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-11
Last Update Date:2017-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ35SI00503000103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty